Sugandhi Nidhi, Saha Manoj, Bhatnagar Veereshwar, Dhua Anjan Kumar
Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
Department of Pediatric Surgery, Gauhati Medical College, Guwahati, Assam, India.
J Indian Assoc Pediatr Surg. 2020 Jan-Feb;25(1):46-48. doi: 10.4103/jiaps.JIAPS_195_18. Epub 2019 Nov 27.
Conservative management of giant omphalocele in the neonate period is a known strategy to allow tissue growth aiding in anatomical closure. However, rupture of the covering sac is considered an absolute contraindication for continuing conservative management. We report a case where a ruptured sac of giant omphalocele was ingeniously sutured to restore its integrity, and conservative management continued. The giant omphalocele later became a huge ventral hernia and was gradually reduced and primary closure was achieved with multiple surgeries over a period of 4 years.
新生儿期巨大脐膨出的保守治疗是一种已知的策略，可促进组织生长以辅助解剖学闭合。然而，覆盖囊的破裂被认为是继续保守治疗的绝对禁忌症。我们报告了一例病例，其中巨大脐膨出的破裂囊被巧妙缝合以恢复其完整性，并继续进行保守治疗。该巨大脐膨出后来变成了一个巨大的腹疝，并逐渐缩小，在4年的时间里通过多次手术实现了一期缝合。
